Inclusion criteria provide a probable or definitive diagnosis of DM according to Bohan and Peter , including disease onset before 18 years, a minimum disease duration of 24 months and age ≥6 years at inclusion.
It is characterized by inflammation and vasculopathy of small vessels in skeletal muscles, skin and internal organs [1, 2].Two-dimensional M-mode and Doppler echocardiography was performed by an experienced investigator (I.S.) with a Vivid 7 ultrasound scanner (GE Vingmed Ultrasound, Horten, Norway) [29, 30].LV length was assessed as the distance from the endocardial border of the apex to the midportion of the MA plane.Long-axis strain was calculated as MA displacement as a percentage of LV end-diastolic length, as previously described in detail .
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